TFF NI 2011 APPLICATION SUMMARY

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					                                              APPLICATION SUMMARY

           THE TERRY FOX FOUNDATION NEW INVESTIGATOR AWARD (2011)
                     Deadline: Friday April 1st, 2011 11.59 pm Pacific Daylight Time

                          Email to newinvestigator@tfri.ca. Fax to 604 675 8118

Full Name of Applicant: [Last Name, first names. Degrees]1

Application Affiliation: [Full Name of Sponsoring Institution]2

Applicant Email: [Applicants’ email address]              Applicant Telephone #: [Applicants’ office telephone #]

Proposed Project Title: [Full title of project]

One Paragraph Scientific Summary: [State objective/hypothesis of study. Methodology/technology to
be employed. Desired Outcomes]




Name of sponsoring Terry Fox Foundation New Frontiers Program or Terry Fox Research Institute
Program: [Full name of the sponsoring funded program]

Project Leader Name to verify sponsorship support: [Name of project leader who has agreed to support
application]

Suggest two (2) non-conflicted reviewers for the proposal3:

Name:              [Reviewer 1]                                  Name:              [Reviewer 2]
Affiliation:                                                     Affiliation:
Email:                                                           Email:
Tel Number                                                       Tel Number
Expertise:         [Expertise relevant to Application]           Expertise:         [Expertise relevant to Application]


Attach your current curriculum vitae (in the CIHR format).


1
  Square bracketed elements in grey designed to be replaced by Applicant with details requested.
2
  Administrative Head of Sponsoring Institution will be required to confirm guarantees requested as part of full application
3
  A non-conflicted reviewer should not have an active collaboration either with the Applicant or with the Sponsoring Program,
or have published with either in the past 5 years.

RFA Terry Fox New Investigator Award (2011)                                                                           Page 1

				
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